Ambulatory Infusion Pump - InfuSystem MICRO 5900.pdf · Ambulatory Infusion Pump ... programming and operation of the CADD-Micro infusion system. SIMS Deltec, Inc. 1265 Grey Fox Road

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Note: Colors are Black and Cyan (as second color)

Model 5900 Operator’s Manual

Ambulatory Infusion PumpCADD-Micro®

Deltec SIMS Deltec, Inc., St. Paul, MN 55112 U.S.A.

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This manual pertains only to the Deltec CADD-Micro®, Model 5900, ambulatoryinfusion system.

WARNING: It is intended that this Operator’s Manual only be utilized byclinicians. Do not permit patients to have access to thismanual or otherwise disclose to the patient the security codeof the pump or any information which would allow thepatient to have complete access to all programming andoperating functions.

CADD® and CADD-Micro® are registered trademarks of SIMS Deltec, Inc.

DURACELL® is a registered trademark of Duracell Inc.EVEREADY® ENERGIZER® is a registered trademark of Union Carbide Corp.ULTRALIFE® is a registered trademark of Ultralife Batteries, Inc.

U.S. Patent No. 4,731,058.

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Technical AssistanceIf you have comments or questions concerning the operation of theCADD-Micro® system, please call this number: 800-426-2448.

Our staff is available to help clinicians twenty-four hours a day with theprogramming and operation of the CADD-Micro infusion system.

SIMS Deltec, Inc.1265 Grey Fox RoadSt. Paul, Minnesota 55112 U.S.A.

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Table of ContentsIntroduction ............................................................................................. 1Epidural/Subarachnoid Administration .................................................... 1About This Manual .................................................................................. 2

Section 1 Overview of the CADD-Micro PumpWhat You Should Know Before Using the Pump ..................................... 4Warnings and Precautions ........................................................................ 5Items Packaged with the Pump ................................................................. 7Diagram of the CADD-Micro Pump ........................................................ 7The Display .............................................................................................. 8The Keypad .............................................................................................. 10Pump Security: Lock Levels ...................................................................... 11Stop and Run Modes ............................................................................... 12Programming Options .............................................................................. 12

Continuous rate ....................................................................... 12Demand dose ........................................................................... 13Automatic doses ...................................................................... 14Lockout time ........................................................................... 15Reservoir volume (RES VOL) .................................................. 16GIVEN and demand dose counter ........................................... 16

Section 2 Programming the PumpProgramming Overview ........................................................................... 17How to Program the Pump ...................................................................... 19

Step 1: Put the pump in the Stop mode .................................... 19Step 2: Change to Lock Level 0 (LL0) ...................................... 19Step 3: Check the clock ............................................................ 20Step 4: Enter the reservoir volume (RES VOL) ......................... 21Step 5: Enter the continuous rate (RATE) ................................ 21Step 6: Enter the demand dose and duration ............................ 22Step 7: Enter the lockout time .................................................. 23Step 8: Clear the dose counter and the GIVEN value ............... 23Step 9: Remove existing automatic doses ................................. 24Step 10: Enter automatic doses ................................................ 24Step 11: Reviewing the program .............................................. 26Special notes on entering multiple automatic doses .................. 27

Preparing the Pump for the Patient .......................................................... 28Change the lock level to LL1 or LL2 ........................................ 28Decrease doses for the patient in LL1 (optional) ...................... 29

Changing the Program ............................................................................ 31Changing continuous rate, demand dose, or lockout time ........ 31

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Changing or removing an automatic dose ................................ 31Removing all automatic doses .................................................. 32

Section 3 Programming ExamplesExample 1: Continuous Rate Only ........................................................... 36Example 2: Continuous Rate, Demand Dose, and Automatic Doses ........ 38Example 3: Continuous Rate with Demand Dose .................................... 42Example 4: Multiple Automatic Doses—Pulsed Infusion ......................... 45Example 5: Two Rates ............................................................................. 48Example 6: Multiple Rates ....................................................................... 52

Section 4 Pump Operation and MaintenanceReplacing the Battery ............................................................................... 58Installing a Micro Medication Reservoir (Syringe) ................................... 60

Preparing the reservoir ............................................................. 61Installing the reservoir ............................................................. 61Priming the pump and fluid path ............................................. 62Connecting or inserting the infusion set ................................... 62Replacing the reservoir only ..................................................... 63

Starting the Pump (Run Mode) ................................................................ 64Stopping the Pump (Stop Mode) .............................................................. 64Resetting the Clock .................................................................................. 65Starting a Demand Dose .......................................................................... 66Stopping a Dose ....................................................................................... 67

Canceling a demand dose in progress ....................................... 67Canceling the next automatic dose ........................................... 67

Adjusting Doses in LL1 ........................................................................... 68Changing the continuous rate or demand dose ........................ 68Changing an automatic dose .................................................... 68

Viewing the Last Dose Time and Next Dose Time ................................... 69Viewing Medication GIVEN and Demand Dose Counter ........................ 70

Section 5 ReferenceGlossary ................................................................................................... 72Pump Maintenance and Cleaning ............................................................. 74Equipment Exposure to Radiation or MRI .............................................. 74Alarms and Troubleshooting .................................................................... 75CADD-Micro Programming Worksheet ................................................... 78FAST Duration Chart .............................................................................. 7924-Hour (Military) Time Conversion Chart ............................................. 80Specifications (Nominal) .......................................................................... 80Limited Warranty .................................................................................... 83

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Introduction

The Deltec CADD-Micro® Model 5900 ambulatory drug delivery pumpprovides measured drug therapy to patients in hospital or outpatientsettings.

The CADD-Micro pump is indicated for intravenous, intra-arterial,subcutaneous, intraperitoneal, epidural space, or subarachnoid spaceinfusion. There are three options for delivery including continuousinfusion, patient-activated demand doses, and programmed automaticdoses. These options may be used alone, or they may be combined forprescriptions which require multiple infusion rates. The pump alsofeatures a “real time” clock which enables the pump to deliver automaticdoses at specific times.

Therapy should always be overseen by a physician or a certified, licensedhealthcare professional. The patient should be instructed in using andtroubleshooting the pump.

Epidural/Subarachnoid Administration

The selected drug must be used in accordance with the indicationsincluded in the package insert accompanying the drug. Administration ofany drug by this pump is limited by any warnings, precautions, orcontraindications in the drug labeling.

Analgesics Administration of analgesics to the epidural space is limitedto use with indwelling catheters specifically indicated foreither short-or long-term drug delivery.Administration of analgesics to the subarachnoid space islimited to use with indwelling catheters specifically indicatedfor short-term drug delivery.

Anesthetics Administration of anesthetics to the epidural space is limitedto use with indwelling catheters specifically indicated forshort-term drug delivery.

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About This Manual

The purpose of this manual is to provide the clinician with operatinginstructions for the CADD-Micro pump. The sections that follow willfamiliarize you with the pump’s features, programming options, andoperating procedures.

Section 1, Overview of the CADD-Micro Pump, gives detaileddescriptions of the pump’s features and programming options.

Section 2, Programming the Pump, provides step-by-step instructions forprogramming the CADD-Micro pump and preparing it for the patient.

Section 3, Programming Examples, provides a number of examples whichillustrate how the delivery options may be used and how they would beprogrammed into the pump.

Section 4, Pump Operation and Maintenance, provides instructions foroperating and maintaining the pump. It includes procedures for changingthe battery, replacing the Micro Medication Reservoir, and stopping andstarting the pump.

Section 5, Reference, includes additional information and an “Alarmsand Troubleshooting” guide.

WARNINGAdministration of drugs to the epidural space or subarachnoid spaceother than those indicated for administration to the epidural space orsubarachnoid space could result in death or serious injury to the patient.

To prevent the infusion of drugs that are not indicated for epidural spaceor subarachnoid space infusion, DO NOT use administration sets thatincorporate injection sites. The inadvertent use of injection sites forinfusion of such drugs may cause death or serious injury to the patient.

If the reservoir or cassette is used for epidural space or subarachnoidspace drug delivery, it is strongly recommended that it be clearlydifferentiated from reservoirs, cassettes, or administration sets used forother routes of infusion, for example, by color coding, or other means ofidentification.

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Section 1Overview of the CADD-Micro Pump

What You Should Know Before Using the Pump ........................... 4

Warnings and Precautions ............................................................. 5

Items Packaged with the Pump ...................................................... 7

Diagram of the CADD-Micro Pump .............................................. 7

The Display ................................................................................... 8

The Keypad ................................................................................... 10

Pump Security: Lock Levels ........................................................... 11

Stop and Run Modes ..................................................................... 12

Programming Options ................................................................... 12

Continuous rate .............................................................. 12

Demand dose .................................................................. 13

Automatic doses ............................................................. 14

Lockout time .................................................................. 15

Reservoir volume (RES VOL) ......................................... 16

GIVEN and demand dose counter .................................. 16

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What You Should Know Before Using the PumpAs with other CADD® pumps, programmed values remain in the pump’smemory when you remove the battery. The pump also features “locklevels” which allow you to limit patient access to the pump. TheCADD-Micro pump should only be used by clinicians experienced in theoperation of ambulatory infusion pumps.

Before operating the CADD-Micro pump, it is important that you reviewthis manual, paying particular attention to all warnings, cautions, andnotes. This manual should be brought to the attention of, and reviewedby, all clinicians involved in operating the pump. In addition, take note ofthe following:

• The built-in “real time” clock enables the pump to deliver automaticdoses at specific times of day, for example, every day at 9:00 AM. Setthe clock when you first open the package and check it before eachtime you program the pump.

• The pump delivers microinfusions using a syringe-type mechanism.Medication is contained in a 10-ml capacity Micro MedicationReservoir. When you change the reservoir, you must prime using thepump’s PRIME key even if you do not see air in the system. This willproperly position the mechanism for delivery. Do not prime the pumpwhile the tubing is connected to the patient.

• The pump must be in Lock Level 1 or Lock Level 0 to use the PRIMEkey. If you want the patient to change his or her own reservoir, makesure the pump is in Lock Level 1.

• The pump allows you to combine up to three different types ofinfusion: a continuous rate, demand doses, and up to 24 automaticdoses. If you do not use one of the options, program it to zero.

• When you enter a new value into the pump’s memory, the pointerautomatically advances to the next function.

• Messages and questions scroll across the display. You can answer yesor no to questions with the ( or) key.

• The effective rate of delivery is the sum of all delivery options. Forexample, if an automatic dose begins while a continuous rate is beingdelivered, the patient will receive the total of the rate and dose. If thepatient requests a demand dose during the delivery of a continuousrate and automatic dose, the patient will receive the total of the three.

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Warnings and Precautions

Do not use a pump that appears to have been damaged or tampered with,or is not functioning properly.

This device is not intended to be used for delivery of blood or cellularblood products.

This device may interfere with ECG equipment. Monitor ECG equipmentcarefully when using this device.

The pump is not sterile. It is not designed to be sterilized. Sterilizationcould damage the pump’s computer and other pump parts.

The pump should be routinely cleaned and kept free of dirt, liquids, andforeign objects. (See “Pump Maintenance and Cleaning,” this section.)

Do not operate the pump at temperatures below +2°C (35°F) or above40°C (104°F).

Do not expose the pump to humidity levels above 90% R. H.

The pump is water resistant. However, total immersion is not recom-mended because moisture build-up within the case may damage the parts.Do not use the pump in the shower without a Shower Pouch. Do not usethe pump in a sauna or steam bath.

Do not store the pump for prolonged periods with a battery; the batterycould leak and damage the pump.

Do not store the pump at temperatures below –40°C (–40°F) or above70°C (158°F).

Avoid using the pump in close proximity to sources of strong staticelectricity or strong electromagnetic fields. (See “Equipment Exposure toRadiation or MRI,” this section.)

Do not use the pump in the presence of flammable anesthetics or explo-sive gases.

The pump does not have an air-in-line alarm or an air entrapment mecha-nism. Periodic visual inspection is therefore recommended.

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Do not use solutions which are incompatible with the fluid path materials,fluid container, and administration set or which do not retain stability overthe desired storage or infusion period.

Use only solutions which are stable under delivery conditions experiencedduring use with the pump. Observe warnings packaged with the MicroMedication Reservoir.

Purge the fluid path of all air bubbles before use.

Do not use the pump if the battery door is broken or damaged. Do notuse the pump if the plastic housing is cracked or if the keypad cover isdamaged or peeling.

Avoid dropping the pump or hitting the pump against a hard surface, asthis could cause the battery cover to become detached or loose. If thebattery door becomes detached or loose, the battery will not be properlysecured; this may result in loss of power, nondelivery of drug, and,depending on the type of drug being administered, death or serious injury.

If the pump is dropped or hit, inspect the pump to ensure that the batterycover did not become dislodged. Inspection should include closing theclamp on the tubing and checking the battery door to ensure it is notbroken. If there appears to be damage, the patient should be instructed toimmediately contact his or her health care provider, the pump should betaken out of service, and Deltec’s Customer Service department should becontacted for return authorization.

The use of a Deltec Pump Pouch is recommended. If the pump is droppedor inadvertently hit against a hard surface, the Pump Pouch is designed tominimize the need for servicing.

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Items Packaged with the Pump

The following accessories are packaged with the CADD-Micro pump:

1 Nonsterile Micro Medication Reservoir (syringe)1 Battery (9-volt)Operator’s Manual and warranty information1 Carrying pouch1 Carrying caseProduct literature

When you first remove the pump from its package, you should check theclock time and set it to the correct time if necessary.

Diagram of the CADD-Micro Pump

The following diagram illustrates the major features of the CADD-Micropump.

Cover

CADD-Micro®

LOCK

PRIMESTOP START

SELECT TOP

SET CLEAR

SELECT BOTTOM

CADD-Micro®

TIME

RES VOL

RATE

LOCKOUT

LAST D

OSE

NEXT D

OSE

GIVEN

START AMOUNTDOSE # DURATIONAUTOMATIC DOSES

DEMAND DOSE

DURATION

DEMAND DOSE

10/03/94 D. Zurn, Filename: CADD-Micro Callouts/10hr

Pointer Display Keypad

Figure 1. Diagram of the CADD-Micro pump.

BatteryDoor

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The Display

The CADD-Micro pump has a Liquid Crystal Display (referred to in thismanual as the display), which allows you to view information stored inthe pump’s memory.

TIME

RES VOL

RATE

LOCKOUT

LAST D

OSE

NEXT D

OSE

GIVEN

START AMOUNTDOSE # DURATIONAUTOMATIC DOSES

DEMAND DOSE

DURATION

2/11/93 D Z rn “ Displa 10 000 ml”

Figure 2. CADD-Micro pump display.

Labels along the top and bottom of the display correspond to functionsthat are programmed into the pump or calculated by the pump. A dot(v), or pointer, indicates which function you are viewing or program-ming. For example, in Figure 2 above, the pointer is positioned underRES VOL and 10 ml appears in the display. This indicates that the valuecalculated for the reservoir volume is 10 ml.

“Time” is represented by a clock (º). For example, the lockout time islabeled on the display as LOCKOUT º. The following is a brief descrip-tion of each function.

TIME º is the current time of day in 24-hour military time accordingto the pump’s internal clock. (See “24-Hour [Military] Time Conver-sion Chart” in Section 5.)

RES VOL approximates the volume remaining in the reservoir. It is thedifference between the originally programmed RES VOL value and thevolume of fluid that has been delivered. The pump automaticallyrecalculates this value when fluid is delivered or the fluid path isprimed.

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RATE is the programmed continuous rate of infusion in milliliters perhour.

DEMAND DOSE is the volume of medication in milliliters programmedto be delivered when the demand dose key is pressed.

Demand Dose DURATION is the programmed length of time overwhich the demand dose will be delivered.

LOCKOUT º is the minimum amount of time that is required toelapse between the start of one demand or automatic dose and thestart of the next demand or automatic dose.

LAST DOSE º is the time the last automatic or demand dose started.The pump automatically updates this value.

NEXT DOSE º is the time the next scheduled automatic dose willbegin. The pump automatically updates this value.

GIVEN is the total volume of medication delivered by the pump sincethe last time this value was cleared, excluding fluid used to prime thefluid path. The GIVEN function also allows you to view the number ofdemand doses that have been delivered.

The following automatic dose functions are listed along the bottom of thedisplay:

DOSE # is automatically assigned to each new automatic dose enteredinto the pump’s memory. The DOSE # helps to identify the doses andallows the pump to keep track of the total number of automatic dosesprogrammed.

START º is the time of day (in 24-hour military time) the automaticdose is programmed to begin.

AMOUNT is the amount of medication in milliliters that is programmedto be delivered by the automatic dose.

DURATION is the programmed length of time over which the automaticdose will be delivered.

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The Keypad

The 9 keys to the right of the display are used for programming andoperating the pump.

The STOP/START key allows you to start the pump to begindelivery or to stop the pump. (See “Stop and Run Modes” in thissection.)

¶

The SELECT TOP key moves the pointer along the functions at thetop of the display, allowing you to view or program the values.ßThe PRIME key allows you to eliminate air from the fluid path andprepare the pump for delivery after attaching a new reservoir.®The LOCK key allows you to view or change the current lock level.(See “Pump Security: Lock Levels,” this section.)§The SET/CLEAR key is used to enter a new value into the pump’smemory, reset the RES VOL value, or clear the GIVEN value.£The DEMAND DOSE key is used to deliver a demand dose. A dosecounter (which may be viewed under the GIVEN function) recordsthe number of demand doses that have been delivered.

¢

The SELECT BOTTOM key moves the pointer along the auto-matic dose functions at the bottom of the display, allowing you toview or program the values.

°The Y/Scroll Up and the N/Scroll Down keys allow you to answeryes and no questions or scroll to higher or lower values duringprogramming. When you press and hold these keys, the valuesscroll with increasing speed.

()

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Pump Security: Lock Levels

The CADD-Micro pump can be set to different lock levels to limit patientaccess to programming and operating functions.

• Lock Level 0 (LL0) allows access to all programming and operatingfunctions.

• Lock Level 1 (LL1) allows dose amounts to be decreased or increasedup to the last value programmed in LL0. LL1 also allows access tofunctions associated with changing the reservoir.

• Lock Level 2 (LL2) does not allow access to any programmingfunctions and allows limited access to operating functions.

The following table lists functions that are accessible in each lock level.Keys that are accessible in a certain lock level will beep when pressed.When a function is not accessible, the pump will ignore the key strokesand no beep will sound.

LL0 LL1 LL2Stop/Start the pump Yes Yes YesChange the lock level Yes, with

security codeYes, with

security codeYes, with

security codeView pump values Yes Yes YesClear the GIVEN value Yes No NoClear the dose counter Yes No NoCancel the nextautomatic dose

Yes Yes Yes

Cancel a demand dose Yes Yes YesChange RES VOL Yes No NoReset RES VOL Yes Yes Only when

value reaches00.00 ml

Prime the pump Yes Yes NoProgram the pump Yes Limited (below) NoChange the continuousrate

Yes Decrease, or increaseto the maximum valueprogrammed in LL0

No

Change the demanddose amount


No

Change an automaticdose amount


No

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Stop and Run Modes

The CADD-Micro pump has two modes of operation: Stop and Run.During the Stop mode, the word STOP flashes on the display and threeshort beeps sound every 5 minutes. The pump must be in the Stop mode(and the appropriate lock level) in order to program doses, prime thefluid path, or change the lock level.

During the Run mode, the word RUN flashes on the display and thepump delivers medication according to the programmed rate orautomatic doses. While the pump delivers an automatic dose, the pointerflashes at the bottom of the display over AMOUNT. When the patientinitiates a demand dose, the pointer flashes at the top of the display underDEMAND DOSE. If the pump delivers both an automatic dose and ademand dose, pointers flash at both positions.

Programming Options

The CADD-Micro pump offers three delivery options which may be usedalone or in any combination: a continuous rate, a demand dose, andautomatic doses. In addition, you may program a lockout time whichlimits the frequency of demand doses and a reservoir volume which alertsyou or the patient that the volume of medication is low.

Continuous rate

12/3/92 D. Zurn Filename: “µ Continuous Rate Graph”

23:5912:00Time

Rate (ml/hr)

Figure 3. Continuous rate

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A continuous rate may be used alone to deliver a constant rate of medica-tion, or it may be used with demand doses or automatic doses. For example,you could use the continuous rate as a “Keep Vein Open” (KVO) rate.

The continuous rate is labeled RATE on the pump. You may enter therate to the nearest 0.002 ml/hr from 0.020 ml/hr up to a maximum of2.000 ml/hr. If a continuous rate is not desired, set it to 0.000 ml/hr.

Demand dose

12/3/92 D. Zurn Filename: “µ Demand Dose Graph”

23:5912:00Time

Dose Amount

Demand Doses

Figure 4. Demand dose

A demand dose allows the patient to administer a programmed amountof medication as needed. This option may be used alone for therapies inwhich medication is delivered strictly at the patient’s discretion, or it maybe used in combination with automatic doses and a continuous rate. Asthe demand dose is delivered, the pointer flashes under DEMAND DOSE.

Both an amount and a duration must be entered for a demand dose. Thedemand dose amount is labeled DEMAND DOSE on the pump. You mayset this value to the nearest 0.002 ml, from 0.020 ml up to a maximum of1.000 ml. If a demand dose is not desired, set it to 0.000 ml.

The demand dose duration is labeled DURATION. You may set theduration up to a value of 24 hours or to “FAST” so the dose will bedelivered as fast as the pump allows (up to 12 ml/hr). The duration maybe set to the nearest minute if it is between 5 and 15 minutes or to thenearest 5 minute increment if it is longer than 15 minutes.

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Automatic doses

12/3/92 D. Zurn Filename: “µ Automatic Dose Graph”

23:5918:00Time

Dose Amount

Automatic Doses

03:00 09:00

Figure 5. Automatic doses

Automatic doses may be programmed to deliver doses at specific times ofthe day. You may program up to 24 automatic doses, each with its ownstart time, amount, and duration. If the prescription calls for multipledelivery rates, you can program the necessary number of automatic dosesalong with an optional continuous rate to create a multiple rate therapy.

Automatic dose values are labeled along the bottom of the display. Thestart time (START º) is the time of day the dose will begin. It is program-med in 24-hour (military) time from 00:00 (midnight) to 23:59 (11:59PM). If the pump is in the Run mode when the clock reaches the starttime, and a lockout time is not in effect, the automatic dose will beginand the pointer will flash over AMOUNT. If the pump is not in the Runmode or the battery is removed, the automatic dose will not begin untilthe pump is started. Then the dose will begin in progress and willcontinue until it is programmed to end. The missed amount will not bemade up.

You may program an automatic dose amount (AMOUNT) from 0.020 mlup to a maximum of 10.000 ml. If the amount is between 0.020 ml and1.000 ml, you can program it to the nearest 0.002 ml. If the amount ismore than 1.000 ml, you can program it to the nearest 0.010 ml.

You can program an automatic dose duration (DURATION) up to avalue of 24 hours, or you can program it to “FAST” so the dose will bedelivered as fast as the pump will allow (up to 12 ml/hr). If the duration

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is between 5 and 15 minutes, you can program it to the nearest minute. Ifthe duration is more than 15 minutes, you can program it to the nearest 5minute increment.

The DOSE # is automatically assigned. The pump places all automaticdoses in chronological order starting at 00:00 (midnight) regardless of theorder in which they are entered and assigns the appropriate dose numberfrom 1 to 24.

NOTE: Two automatic doses may not be programmed to overlap.However, an automatic dose and a continuous rate may deliver at thesame time. The effective rate of delivery is the sum of the two.

Lockout time

12/3/92 D. Zurn “µ Lockout Time Graph”

Time

Dose Amount

Lockout Time

Figure 6. Lockout time

The pump features a lockout time which allows you to limit thefrequency of doses. This is the minimum amount of time that is requiredto elapse between the start of one demand or automatic dose and thestart of the next demand or automatic dose. It may be programmed to avalue between 0 and 23 hours 55 minutes. If the lockout time is between1 minute and 1 hour, you can set it to the nearest minute. If it is longerthan 1 hour, you can set it to the nearest 5-minute increment.

NOTES:• The lockout time prevents dose delivery even if the pump has been

stopped or the battery has been removed.• If a demand dose has been delivered, part or all of the next

automatic dose could be missed if the lockout time is still in effectwhen the automatic dose is scheduled to begin.

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Reservoir volume (RES VOL)

You may use the reservoir volume function to record the initial volume inthe reservoir. When a dose is delivered or the PRIME key is used, thepump recalculates the RES VOL value to reflect the volume remaining inthe reservoir. When the RES VOL value reaches 0.500 ml, an alarmsounds. The alarm sounds again with each 0.100 ml decrease in thevalue. When RES VOL reaches 0.000 ml, the pump stops. If you choosenot to use RES VOL, you may set the value to dashes (-.---). Then thepump will alarm only when the reservoir is empty and will display themessage “HIGH PRESSURE OR SYRINGE EMPTY.”

The pump does not actually measure the volume of drug remaining in thereservoir. The RES VOL value is the difference between the originalRES VOL value and the milliliters of fluid delivered, including theamount used to prime the fluid path.

When you enter the RES VOL, take into account the volume of fluid youwill use to prime the entire fluid path including any extension sets orother infusion apparatus. For example, if the total amount to be infusedis 9.000 ml and it will take 0.300 ml to prime the fluid path, fill thereservoir with at least 9.300 ml and program a RES VOL of 9.300 ml.

Although the RES VOL may be programmed up to 10.500 ml (to thenearest 0.100 ml), it is recommended that the reservoir not be filled withmore than 10 ml of fluid. Therefore, it is not necessary to program aRES VOL greater than 10.000 ml.

GIVEN and demand dose counter

The GIVEN value is the amount of medication (in milliliters) delivered bythe pump since the last time the GIVEN value was cleared excluding fluiddelivered with the PRIME key. The pump calculates the GIVEN valueeach time a dose is delivered.

The demand dose counter records the number of demand doses that havebeen delivered since the last time the value was cleared. The dose countermay be viewed under the GIVEN function by pressing (.

Both the GIVEN value and the demand dose counter should be clearedwhen programming a new therapy.

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Section 2Programming the Pump

Programming Overview ................................................................. 17

How to Program the Pump ............................................................ 19

Step 1: Put the pump in the Stop mode ........................... 19

Step 2: Change to Lock Level 0 (LL0) ............................. 19

Step 3: Check the clock ................................................... 20

Step 4: Enter the reservoir volume (RES VOL) ................ 21

Step 5: Enter the continuous rate (RATE) ....................... 21

Step 6: Enter the demand dose and duration ................... 22

Step 7: Enter the lockout time ......................................... 23

Step 8: Clear the dose counter and the GIVEN value ...... 23

Step 9: Remove existing automatic doses ........................ 24

Step 10: Enter automatic doses ....................................... 24

Step 11: Reviewing the program ..................................... 26

Special notes on entering multiple automatic doses ......... 27

Preparing the Pump for the Patient ................................................ 28

Change the lock level to LL1 or LL2 ............................... 28

Decrease doses for the patient in LL1 (optional) ............. 29

Changing the Program .................................................................. 31

Changing continuous rate, demand dose, or lockout time 31

Changing or removing an automatic dose ....................... 31

Removing all automatic doses ......................................... 32

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Programming Overview

Prepare for programming• Use a CADD-Micro Pump Programming Worksheet, if desired, to

transcribe the clinician’s orders into programming instructions. (Asample of the worksheet is included in Section 5.)

• Insert a fresh 9-volt alkaline or lithium battery. (See “Replacing theBattery” in Section 4.)

Program the pumpThese steps are described in detail beginning on the next page. Follow allof these steps when you program a new therapy.

Step 1: Put the pump in Stop mode.

Step 2: Change to Lock Level 0 (LL0).

Step 3: Check the clock.

Step 4: Enter the reservoir volume (RES VOL).

Step 5: Enter the continuous rate (RATE).

Step 6: Enter the demand dose and duration.

Step 7: Enter the lockout time.

Step 8: Clear the dose counter and the GIVEN value.

Step 9: Remove existing automatic doses.

Step 10: Enter automatic doses.

Step 11: Review the program.

Prepare the pump for the patient• Change the lock level to LL1 or LL2.

• Decrease the rate or dose amounts for the patient if desired.

• Fill and install the Micro Medication Reservoir.

• Connect the infusion set.

• Use the PRIME key to prime the pump.

• Attach or insert the infusion set.

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How to Program the Pump

CAUTIONS: (1) While programming the pump, make sure any unuseddelivery options are set to zero. For example, if the therapydoes not require a continuous rate, make sure RATE is set to0.000 ml/hr. Otherwise, the pump will deliver more medicationthan desired.

(2) Do not use £ to move the pointer or you mayinadvertently clear or reprogram values. Use only

ß and °to move the pointer.

Step 1: Put the pump in the Stop mode

If “STOP” is flashing in the lower left corner of the display, the pump isalready in the Stop mode. If “RUN” is flashing, follow these steps to stopthe pump.

1. Hold ¶ until the letters S-T-O-P appearon the display and you hear a beep.

2. Release ¶. “STOP” will flash in the lower left corner of the displayand the current time of day will appear in 24-hour (military) time.

Step 2: Change to Lock Level 0 (LL0)

1. Press §. (If LL0 appears, the pump is already in Lock Level 0; goto “Step 3: Check the clock.”)

2. Press ( until “LL0” appears.

V V V V V V V V V

StopV V V V

V V V V V V V V V

LL0V V V V

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3. Press § within 15 seconds(otherwise, the lock level will revert tothe previous value). Four zeroes willappear on the display.

4. Press ( until the security code**** appears.

CAUTION: You should not let the patient know this code to prevent thepatient from programming the pump.

5. Press § within 15 seconds to set the new lock level.

NOTE: To check the lock level, press § once to see the lock levelthen two more times to return to the regular display.

Step 3: Check the clock

CAUTION: Whenever the clock time is changed, any lockout time that maybe in effect is cleared. If a demand dose is programmed, a demanddose could be requested immediately upon starting the pump.

1. Press ß to move the pointer toTIME º. (If the time is correct, go to“Step 4: Enter the reservoir volume.”)

2. Press ( or ) to select the correct time of day.

3. Press £. The message “CHANGE TIME OF DAY?” willappear.

4. Press ( to set the time you have selected.

V V V V V V V V V

0000V V V V

V V V V V V V V V

V V V V

TIME ºv V V V V V V V V

12:35STOP HR:MIN

V V V V

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Step 4: Enter the reservoir volume (RES VOL)

If you choose not to use RES VOL, set the value to dashes “-.---.”Without a RES VOL setting, the pump will alarm only when the reservoiris empty.

1. Press ß to move the pointer to RES VOL.

2. Press ( or ) to select the desiredreservoir volume in milliliters.(If you do not wish to use RES VOL,scroll to dashes “-.---” which appearin place of 0.000.)

3. Press £ within 15 seconds to set the RES VOL value you haveselected (otherwise, the pump will retain the previous setting). Thepointer will blink and move to RATE.

Step 5: Enter the continuous rate (RATE)

If a continuous rate is not required, set RATE to 0.000 ml/hr.

1. The pointer should be positioned under RATE. The currentcontinuous rate will appear on the display. (If necessary, press ß tomove the pointer to RATE.)

2. Press ( or ) to select the desiredcontinuous rate in milliliters per hour.(If the prescription does not require acontinuous rate, select 0.000 ml/hr.)

3. Press £ within 15 seconds to set the continuous rate you haveselected (otherwise, the pump will retain the previous setting). Thepointer will blink and move to DEMAND DOSE.

RES VOLV v V V V V V V V

ML10.000

STOPV V V V

RATEV V v V V V V V V

ML/HR 0.050

STOPV V V V

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Step 6: Enter the demand dose and duration

If a demand dose is not required, set DEMAND DOSE to 0.000 ml.

1. The pointer should be positioned under DEMAND DOSE. Thecurrent demand dose amount will appear on the display. (If necessary,press ß to move the pointer to DEMAND DOSE.)

2. Press ( or ) to select the desireddemand dose amount in milliliters. (Ifthe prescription does not require ademand dose, select 0.000.)

3. Press £ within 15 seconds to set theamount you have selected . The pointerwill blink and move to DURATION and“ :05” (5 minutes) will appear on thedisplay (this is the default duration).

NOTE: If you entered an amount of 0.000 ml, the pointer will skipover DURATION and move to LOCKOUT º; go to “Step 7: Enter thelockout time.”

4. Press ( or ) to select the desiredduration of the demand dose in hoursand minutes. To deliver the demanddose as fast as possible, scroll down to“FAST.”

5. Press £ to set the duration you have selected (otherwise, the pumpwill retain the previous setting). The pointer will blink and move toLOCKOUT º.

DEMAND DOSEV V V v V V V V V

ML 0.250

STOPV V V V

DURATIONV V V V v V V V V

:05STOP HR:MIN

V V V V


:10STOP HR:MIN

V V V V

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Step 7: Enter the lockout time

If a lockout time is not required, set LOCKOUT º to “ :00” hr:min.

1. The pointer should be positioned on LOCKOUT º. (If necessary,press ß to move the pointer to LOCKOUT º.)

2. Press ( or ) to select the desiredlockout time in hours and minutes. (Ifthe prescription does not require alockout time, select “ :00”.)

3. Press £ within 15 seconds to set the lockout time you haveselected. The pointer will blink and move to either LAST DOSE º orGIVEN.

The LAST DOSE º and the NEXT DOSE º are automaticallymaintained by the pump and do not need to be entered. Go to “Step8: Clear the dose counter and the GIVEN value.”

Step 8: Clear the dose counter and the GIVEN value

1. Press ß to move the pointer to GIVEN if necessary.

2. Press ( to see the demand dose counter. The number of demanddoses delivered will appear followed by “demand dosesgiven.” Then the message “CLEAR DOSE COUNTER?”will scroll across the display.

3. Press ( to clear the demand dose counter. (If you wish to retain thenumber, press ).) The GIVEN value will reappear.

4. Press £ to clear the GIVEN value. The pointer will blink andmove to TIME º.

LOCKOUT ºV V V V V v V V V

:30STOP HR:MIN

V V V V

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Step 9: Remove existing automatic doses

1. Press ° to move the pointer to DOSE #. If “1” appears, automaticdoses are programmed and must be removed.

NOTE: If “NONE” appears on the display, no automatic doses areprogrammed. Go to “Step 10: Enter automatic doses.”

2. Press ° to move the pointer to the START º.

3. Press ( or ) until dashes appear(“--:--”), not 00:00. (The dashes arelocated between 00:00 and 23:55.)

4. Press £. The message “REMOVE ALL DOSES?” will appear.

5. Press (. “NONE” will appear on thedisplay indicating that you haveremoved all automatic doses.

Step 10: Enter automatic doses

If automatic doses are not required, make sure DOSE # is set to “None.”Then go to “Step 11: Review the Program.”

1. If necessary, press ° to move the pointerto DOSE #. “NONE” will appear.

NOTE: If “1” appears, automaticdoses exist and should be removed beforeyou continue. See “Step 9: Removeexisting automatic doses.”

V V V V V V V V V

--:--STOP HR:MIN

V v V V

START º

V V V V V V V V V

NoneSTOP

v V V V

DOSE #

V V V V V V V V V

NoneSTOP

v V V V

DOSE #

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2. Press (. “ADD?” will appear.

3. Press (. The pointer will move toSTART º, and dashes will appear onthe display.

4. Press ( or ) to select the desiredstart time in 24-hour (military) time(12 midnight = 00:00, 12 noon = 12:00).

5. Press £ within 15 seconds (otherwise, the pump will retain theprevious setting). The pointer will blink and move to AMOUNT.

6. Press ( or ) to select the desiredamount in milliliters.

7. Press £. “DOSE ADDED” will scroll across the display. Thepointer will blink, move to DURATION, and “:05” (5 minutes) willappear.

8. Press ( or ) to select the desiredduration in hours and minutes or“FAST.” (“FAST” delivers as fast asthe pump will allow, up to 12 ml/hr.)

9. Press £. The pointer will blink andmove to DOSE #. “ADD?” will appearagain on the display asking whether youwant to add another automatic dose.

V V V V V V V V V

--:--STOP HR:MIN

V v V V

START º

V V V V V V V V V

02:00STOP HR:MIN

V v V V

START º

V V V V V V V V V

:05STOP HR:MIN

V V V v

DURATION

V V V V V V V V V

ML 0.250

STOPV V v V

AMOUNT

V V V V V V V V V

ADD?STOP

v V V V

DOSE #

V V V V V V V V V

ADD?STOP

v V V V

DOSE #

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10. Press ) to stop. The total number of automatic doses will scrollacross the display. Or, press ( to program the next automatic doseand repeat steps 3 through 9. You will notice minor differences whenadding additional doses. (See “Special Notes,” next page.)

Step 11: Reviewing the program

1. Hold ß or press it repeatedly to review the top functions.

NOTE: If the demand dose amount is zero, the pointer will skipover the demand dose DURATION. If no automatic doses areprogrammed, it will skip over NEXT DOSE º. If no demand orautomatic doses are programmed, the pointer will also skip over LASTDOSE º.

2. Hold ° or press it repeatedly to review the automatic doses. Thepump will review the dose number, start time, amount, and durationfor all programmed automatic doses in sequence.

3. If the pump is in the Stop mode and LL0, “ADD?” will appear afterall doses have been displayed. Press ). The total number ofautomatic doses programmed will scroll across the display.

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Special notes on entering multiple automatic doses

When at least one automatic dose is already programmed, you will noticethe following changes when you enter additional automatic doses:

• The START º will show dashes (--:--). When you use the up scroll key,the pump will begin scrolling from the end of the preceding dose,skipping over times at which other automatic doses have already beenprogrammed.

• The message “DOSE ADDED” will appear in step 5 (after youselect the START º) rather than in step 7 since the AMOUNT andDURATION are assumed to be the same as the preceding dose’svalues.

• The AMOUNT and DURATION will be automatically set to thepreceding dose’s values but may be changed if necessary.

• Since automatic doses cannot overlap, the pump will let you scrollonly through amounts and durations it can deliver before the nextautomatic dose is programmed to start.

For example, if an automatic dose is already programmed at 02:00(2:00 AM), and you try to enter a dose which starts 30 minutes earlier(at 01:30), the pump will allow you to scroll through only durations ofup to 30 minutes. Then it will return to “FAST.” Likewise, the pumpwill let you scroll through only amounts of 0.000 ml to 6.000 ml sincethe maximum amount of medication that can be delivered by anautomatic dose in 30 minutes is 6 ml. (The maximum rate is 12 ml perhour; see “Specifications” in Section 5.)

• You will not be able to scroll to “ADD?” if 24 automatic doses havebeen programmed (the maximum) or if automatic doses have beenprogrammed to occupy the entire day.

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Preparing the Pump for the Patient

Change the lock level to LL1 or LL2

The lock level must be reset to LL1 or LL2 to prevent the patient fromhaving total access to all programming and operating functions. Thepump must be in the Stop mode. For more information on lock levels, see“Pump Security: Lock Levels” in Section 1.

NOTE: If you want the patient to change the reservoir, use LL1 sothe priming function is accessible.

1. Press §. The current lock level willappear.

2. Press ( until “LL1” or “LL2”appears.

3. Press § within 15 seconds(otherwise, the lock level will revert tothe previous value). Four zeroes willappear on the display.

4. Press ( until the security code**** appears.

CAUTION: You should not let the patient know this code to prevent thepatient from programming the pump.

5. Press § within 15 seconds to set the new lock level.

NOTE: To verify the new lock level, press § once to see the locklevel then two more times to return to the regular display.

V V V V V V V V V

0000V V V V

V V V V V V V V V

V V V V

V V V V V V V V V

LL1V V V V

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Decrease doses for the patient in LL1 (optional)

You may wish to operate the pump in LL1 so doses may be increased ordecreased as needed. The values you have programmed in LL0 for thecontinuous rate, demand dose, and automatic doses are maximum values.You may change the lock level to LL1 and decrease these values beforeyou give the pump to the patient. Then, while the pump is operating inLL1, you or the patient may decrease or increase dose amounts only upto the maximum programmed values. (See “Adjusting Doses in LL1” inSection 4.)

NOTE: The pump must be in LL1 before you decrease the doses toretain the maximum values you entered in LL0. If the pump is in LL0,the new values you enter will become the new maximum amounts.

To decrease the continuous rate or demand dose amount

1. Make sure the pump is in the Stop mode and LL1. (See the previousprocedure, “Change the lock level to LL1 or LL2.”)

2. Press ß to move the pointer to RATE or DEMAND DOSE.

3. Press ) until the desired value appears.

4. Press £ within 15 seconds to set the new value (otherwise, thepump will retain the previous setting).

To decrease an automatic dose amount

1. Make sure the pump is in the Stop mode and LL1. (See the previousprocedure, “Change the lock level to LL1 or LL2.”)

2. Press ° to move the pointer to DOSE #.“1” will appear on the display (the firstdose).

NOTE: If “NONE” appears, no automatic doses are programmed.

V V V V V V V V V

1STOP

v V V V

DOSE #

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3. Press ( until the DOSE # for the doseyou wish to change appears.

4. Press ° to move the pointer to theAMOUNT.

5. Press ) until the desired valueappears.

NOTE: If you set the amount to 0.000,this will completely remove the dose, and“dose removed” will scrollacross the display.


V V V V V V V V V

3STOP

v V V V

DOSE #

V V V V V V V V V

ML 0.200

STOPV V v V

AMOUNT

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Changing the Program

To make a change to the program, the pump must be in the Stop modeand LL0.

NOTE: If you wish to increase or decrease dose amounts with thepump in lock level 1, see “Adjusting Doses in LL1” in Section 4.

CAUTION: When you set a new lockout time, any lockout time that is ineffect will be cleared. If a demand dose is programmed, a demanddose could be requested immediately upon starting the pump.

Changing continuous rate, demand dose, or lockout time

1. Make sure the pump is in the Stop mode and LL0.

2. Press ß to move the pointer to the function you wish to change.

3. Press ( or ) to select the desired value.


NOTE: You may see “ONE OR MORE auto DOSESLOCKED OUT” indicating that the new lockout time preventsdelivery of all or part of an automatic dose. The pump will not start ifthis condition exists; you must adjust the lockout time or theconflicting automatic dose.

Changing or removing an automatic dose

You may change the start time, amount, or duration of an automaticdose. If you change the start time, the pump will place it in chronologicalorder and renumber all automatic doses.

To remove an automatic dose, change the amount to 0.000 ml in step 5of the following procedure. The pump will renumber the remainingdoses. Start times, amounts, and durations for the remaining doses willnot change.

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2. Press ° to move the pointer to DOSE #.“1” will appear on the display (the firstdose).

NOTE: If “NONE” appears, noautomatic doses have been programmed.

3. Press ( until the DOSE # for the doseyou wish to change appears.

4. Press ° to move the pointer to the value you wish to change(START º, AMOUNT, or DURATION).

5. Use ( and ) to select the desiredvalue.

6. Press £ within 15 seconds to set thenew value (otherwise, the pump willretain the previous setting).

NOTE: If you programmed the amount to 0.000 ml, the message“DOSE REMOVED” will scroll across the display.

Removing all automatic doses


2. Press ° to move the pointer to DOSE #. “1” will appear on thedisplay (the first dose).

NOTE: If “NONE” appears, no automatic doses are programmed.

V V V V V V V V V

3STOP

v V V V

DOSE #

V V V V V V V V V

1STOP

v V V V

DOSE #

V V V V V V V V V

ML 0.250

STOPV V v V

AMOUNT

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3. Press ° to move the pointer to the START º.

4. Press ( or) until dashes “--:--”appear, not 00:00. (The dashes arelocated between 00:00 and 23:55.)

5. Press £. The message “REMOVE ALL DOSES?” willappear.

6. Press (. “NONE” will appear on thedisplay indicating that no automaticdoses are programmed.

V V V V V V V V V

--:--STOP HR:MIN

V v V V

START º

V V V V V V V V V

NoneSTOP

v V V V

DOSE #

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Section 3Programming Examples

Example 1: Continuous Rate Only ................................................ 36

Example 2: Continuous Rate, Demand Dose, and AutomaticDoses ..................................................................................... 38

Example 3: Continuous Rate with Demand Dose .......................... 42

Example 4: Multiple Automatic Doses—Pulsed Infusion ............... 45

Example 5: Two Rates ................................................................... 48

Example 6: Multiple Rates ............................................................ 52

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Example 1: Continuous Rate Only

The patient should receive 8 ml of drug a day to be infused at 1 ml/hr,starting at 22:00 (10 PM).

12/3/92 D. Zurn Filename: “µ Example 1 Graph”

06:00Time

Rate (ml/hr)

22:00

Continuous Rate1.00

Figure 7. Graph of Example 1: An 8-hourcontinuous rate beginning at 22:00 (10 PM).

Discussion:

For this example, you may program a continuous rate of 1 ml/hr andhave the patient run the pump from 10 PM to 6 AM. The total amountof medication to be delivered in a 24 hour period is 8 ml. Assume thepriming volume is 0.300 ml. Program a reservoir volume of 8.300 mland fill the reservoir accordingly. Enter the following values on theCADD-Micro Programming Worksheet:

RES VOL: 8.30 mlRATE: 1.000 ml/hrDEMAND DOSE: 0.000 mlLOCKOUT º: :00GIVEN: ClearDemand dose counter: ClearAUTOMATIC DOSES: NONE

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How to program Example 1

Before you begin, make sure the pump is in the Stop mode and LL0.

1. Press ß to move the pointer to RESVOL.

2. Press ( or) until “8.300” appears.

Press £. The pointer will move to RATE.


Press £. The pointer will move toDEMAND DOSE.

4. Press ( or) until “ 0.000” appears.

Press £. The pointer will move toLOCKOUT º.

5. Press ( or) until “ :00” appears.

Press £. If necessary, press ß to move the pointer to GIVEN.

6. Press (. The demand dose counter will appear followed by“demand doses given.” Then “CLEAR DOSECOUNTER?” will scroll across the display.

7. Press ( to clear the dose counter. The GIVEN value will reappear.

8. Press £ to clear the GIVEN value. The pointer will move to TIME º.

9. Press ° to make sure automatic dosesare set to “NONE.” If “1” appears, removeall automatic doses. (See “Removing allautomatic doses,” Section 2.)

V V V V V V V V V

NoneSTOP

v V V V

DOSE #


ML/HR 1.000

STOPV V V V


ML 8.300

STOPV V V V


ML 0.000

STOPV V V V


:00STOP HR:MIN

V V V V

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Example 2: Continuous Rate, Demand Dose, andAutomatic Doses

The patient should receive a constant rate of infusion at 0.100 ml/hr. Thepatient should also receive a 0.020 ml automatic dose at 8:00 AM(08:00) over 10 minutes, and a 0.030 ml dose at 8:00 PM (20:00) over 15minutes. The patient may also receive boluses of 0.040 ml to be deliveredover 20 minutes as needed. The reservoir volume is 10 ml.

6/16/93 D. Zurn Filename: µ Example 2 Graph 6/93

20:00Time

Dose Amount Automatic

Dose

08:00

Continuous Rate

Automatic Dose

Demand Dose

Figure 8. Graph of Example 2: Continuous rate,demand dose, and two automatic doses.

Discussion:

This example uses all three delivery options. It requires a continuous rate,a demand dose amount and duration, and two automatic doses. The totalvolume that will be delivered in 24 hours by the continuous rate andautomatic doses is 2.450 ml. The reservoir volume of 10 ml is sufficientto allow for the continuous rate, automatic dose volumes, and demanddose volumes. The CADD-Micro Programming Worksheet would includethe following values:

RES VOL: 10.000 mlRATE: 0.100 ml/hrDEMAND DOSE: Amount = 0.040 ml

Duration = :20 minutesLOCKOUT º: :00

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GIVEN: ClearDemand dose counter: ClearAUTOMATIC DOSES: Dose Start Time Amount Duration

1 08:00 0.020 :102 20:00 0.030 :15








4. Press ( or) until “0 .040” appears.

Press £. The pointer will move todemand dose DURATION.





ML10.000

STOPV V V V


ML/HR 0.100

STOPV V V V


ML 0.040

STOPV V V V


:00STOP HR:MIN

V V V V


:20STOP HR:MIN

V V V V

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Press £. The pointer will move to LAST DOSE º.

7. Press ß to move the pointer to GIVEN.

8. Press (. The demand dose counter will appear, followed by“demand doses given.” Then the message “CLEARDOSE COUNTER?” will scroll across the display.



11. Press ° to move the pointer to DOSE #. “NONE” will appear onthe display. (If “1” appears, you must remove the existing automaticdoses before continuing. See “Removing all automatic doses” inSection 2.)

12. Press ( until “ADD?” appears.

13. Press (. The pointer will move toSTART º.

14. Press ( until “08:00” appears.

Press £. The pointer will move toAMOUNT.

15. Press ( until “0.020” appears.

V V V V V V V V V

ADD?STOP

v V V V

DOSE #

V V V V V V V V V

08:00STOP HR:MIN

V v V V

START º

V V V V V V V V V

ML 0.020

STOPV V v V

AMOUNT

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Press £. “DOSE ADDED” will scroll across the display andthe pointer will move to DURATION.

16. Press ( until “ :10” appears.

Press £. The pointer will move toDOSE #, and “ADD?” will appear.

17. Repeat steps 13 through 16 for the second automatic dose substitut-ing the START º (20:00), AMOUNT (0.030 ml) and DURATION(:15 minutes). When “ADD?” appears after entering the duration,press ) to stop programming.

V V V V V V V V V

:10STOP HR:MIN

V V V v

DURATION

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Example 3: Continuous Rate with Demand Dose

The patient should receive a continuous infusion of 0.400 ml/hr. Inaddition, the patient can receive demand doses of 0.1 ml as needed (to bedelivered as fast as possible), but a demand dose should not be alloweduntil 30 minutes after that start of another dose.

12/3/92 D. Zurn Filename: “µ Example 3 Graph”

Time

Dose Amount

Lockout Time

Continuous Rate

Demand Doses

Figure 9. Graph of Example 3

Discussion:

This example requires a continuous rate, a demand dose amount andduration, and a lockout time. The total amount of medication to bedelivered by the continuous rate alone is 9.600 ml in 24 hours. For thisexample, assume that 0.300 ml will be needed to prime the fluid path.Therefore, depending on the number of demand doses the patient ini-tiates, the reservoir may empty before 24 hours have elapsed. The reser-voir volume should be programmed to 10 ml, and the reservoir should befilled accordingly. Enter the following values on the CADD-Micro Pro-gramming Worksheet:

RES VOL: 10.000 mlRATE: 0.400 ml/hrDEMAND DOSE: Amount = 0.100 ml

Duration = FASTLOCKOUT º: :30 (30 minutes)GIVEN: ClearDemand dose counter: ClearAUTOMATIC DOSES: NONE

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Press £. The pointer will move toRATE.




Press £. The pointer will move toDURATION.

5. Press ( or) until “fast” appears.



Press £. The pointer will move toLAST DOSE º.


ML 0.100

STOPV V V V


FASTSTOP HR:MIN

V V V V


:30STOP HR:MIN

V V V V


ML/HR 0.400

STOPV V V V


ML 10.000

STOPV V V V

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7. Press ß to move the pointer to GIVEN.

8. Press (. The demand dose counter will appear followed by“demand doses given.” Then the message “CLEARDOSE COUNTER?” will scroll across the display.



11. Press ° to make sure automatic dosesare set to “NONE.”

NOTE: If “1” appears, you must clearall automatic doses. (See “Removing allautomatic doses” in Section 2.)

V V V V V V V V V

NoneSTOP

v V V V

DOSE #

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Example 4: Multiple Automatic Doses—Pulsed Infusion

The patient should receive a 0.500-ml pulse of drug every 90 minutes.

7/8/93 D. Zurn “µ Example 4 Graph”

Time

Dose Amount

Figure 10. Graph of Example 4: Multiple Automatic Doses

Discussion:

This example requires 16 automatic doses. The total volume to bedelivered in 24 hours is 8.000 ml. For this example, assume the primingvolume is 0.300 ml and enter a reservoir volume of 8.300 ml. Determinethe start time for each dose and select a “FAST” duration. List thedoses in order by start time on a CADD-Micro Programming Worksheet.

RES VOL: 08.30 mlRATE: 0.000 ml/hrDEMAND DOSE: 0.000 mlLOCKOUT º: :00GIVEN: ClearDemand dose counter: ClearAUTOMATIC DOSES: Dose Start time Amount Duration

1 00:00 0.500 FAST2 01:30 0.500 FAST3 03:00 0.500 FAST4 04:30 0.500 FAST5 06:00 0.500 FAST6 07:30 0.500 FAST7 09:00 0.500 FAST8 10:30 0.500 FAST9 12:00 0.500 FAST10 13:30 0.500 FAST11 15:00 0.500 FAST12 16:30 0.500 FAST

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13 18:00 0.500 FAST14 19:30 0.500 FAST15 21:00 0.500 FAST16 22:30 0.500 FAST







Press £. The pointer will move to DEMAND DOSE.




Press £. Then press ß to move the pointer to GIVEN if necessary.




ML 8.300

STOPV V V V


ML/HR 0.000

STOPV V V V


ML 0.000

STOPV V V V


:00STOP HR:MIN

V V V V

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9. Press ° to move the pointer to DOSE#. “NONE” will appear on the display.(If “1” appears, you must clear allautomatic doses. See “Removing allautomatic doses” in Section 2.)




Press £. The pointer will move to AMOUNT.


Press £. “DOSE ADDED” willscroll across the display, and the pointer will move to DURATION.

14. Press ) until “FAST” appears.

Press £. The pointer will move to DOSE # and “ADD?” will appear.

15. Repeat steps 10 through 13 for the remaining 15 automatic dosessubstituting each dose’s START º. When “ADD?” appears at theend of the last dose, press ) to stop programming.

NOTE: If the message “dose locked out” appears, alockout time remains from the pump’s previous program. You mustchange the LOCKOUT º to zero.

V V V V V V V V V

NoneSTOP

v V V V

DOSE #

V V V V V V V V V

ADD?STOP

v V V V

DOSE #

V V V V V V V V V

00:00STOP HR:MIN

V v V V

START º

V V V V V V V V V

ML 0.500

STOPV V v V

AMOUNT

V V V V V V V V V

fastSTOP HR:MIN

V V V v

DURATION

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Example 5: Two Rates

The patient should receive a continuous 1 ml/hr infusion of drug from08:00 (8 AM) to 14:00 (2 PM), and a KVO (“keep vein open”) of 0.050ml/hr from 14:00 to 8:00.


08:00Time

Rate (ml/hr)

14:00

1.00

0.05

Automatic dose

Automatic dose

Figure 11. Graph of Example 5: Two automatic doses.

Discussion:

This example may be programmed in one of two ways: 1) a continuousKVO rate with an automatic dose at 08:00, or 2) one automatic dosefrom 08:00 to 14:00 and one from 14:00 to 08:00. Since the continuousrate and automatic doses are additive, it may be simpler to calculate twoautomatic doses. First, calculate the amount to be delivered by eachautomatic dose.

08:00 to 14:00 (6 hours): 6 hr × 1 ml/hr = 6 ml14:00 to 08:00 (18 hours): 18 hr × 0.05 ml/hr = 0.9 ml

The total volume to be delivered in 24 hours is 6.900 ml. For thisexample, assume that a reservoir volume of 7.2 ml will be sufficient fordose delivery and priming. The pump will automatically arrangeautomatic doses in order by start time and assign dose numbers as youenter them. Enter the following on the CADD-Micro ProgrammingWorksheet:

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1 08:00 6.000 06:00 2 14:00 0.900 18:00











Press £. Then press ß to move the pointer to GIVEN if necessary.


ML 7.200

STOPV V V V


ML/HR 0.000

STOPV V V V


ML 0.000

STOPV V V V


:00STOP HR:MIN

V V V V

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9. Press ° to move the pointer toDOSE #. “NONE” will appear on thedisplay. (If “1” appears, you must clearall automatic doses. See “Removing allautomatic doses” in Section 2.)




Press £. The pointer will move to AMOUNT.


Press £. “DOSE ADDED” willscroll across the display and the pointerwill move to DURATION.

14. Press ( or) until “6:00” appears.

V V V V V V V V V

ADD?STOP

v V V V

DOSE #

V V V V V V V V V

08:00STOP HR:MIN

V v V V

START º

V V V V V V V V V

ML 6.000

STOPV V v V

AMOUNT

V V V V V V V V V

6:00STOP HR:MIN

V V V v

DURATION

V V V V V V V V V

NoneSTOP

v V V V

DOSE #

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Press £. The pointer will move to DOSE # and “ADD?” willappear.

15. Press (. The pointer will move to START º.

16. Press (. “14:00” will appear.

Press £. “DOSE ADDED” willscroll across the display and the pointerwill move to AMOUNT.


Press £. The pointer will move toDURATION.


Press £. Since you have added twodoses which take up the entire day,“ADD?” will not appear. The total number of doses programmedwill scroll across the display and programming will be complete.

V V V V V V V V V

14:00STOP HR:MIN

V v V V

START º

V V V V V V V V V

18:00STOP HR:MIN

V V V v

DURATION

V V V V V V V V V

ML 0.900

STOPV V v V

AMOUNT

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Example 6: Multiple Rates

The patient should receive 10 ml per day in the following increments:

68% of drug between 15:00 (3 PM) and 21:00 (9 PM)15% of drug between 21:00 and 03:00 (3 AM)2% of drug between 03:00 and 09:00 (9 AM)15% of drug between 09:00 and 15:00.The reservoir volume is 10 ml.


Time

Rate (ml/hr)

21:0003:00 09:00 15:00

Figure 12. Graph of Example 6: Four automatic doses.

Discussion:

This example requires 4 different automatic doses, each with a 6-hourduration. First, calculate the amount of each automatic dose by multiply-ing the percentage of drug to be delivered by the total reservoir volume.

0.68 × 10 ml = 6.8 ml0.15 × 10 ml = 1.5 ml0.02 × 10 ml = 0.2 ml0.15 × 10 ml = 1.5 ml

In this example, the total volume that will be delivered in 24 hours by theautomatic doses is 10 ml. The reservoir volume is 10 ml, but the medica-tion in the reservoir is also used to prime the fluid path. Depending onthe volume needed for priming, the reservoir will probably empty before

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the last automatic dose has been completely delivered. The pump willautomatically stop when the RES VOL reaches 00.00 ml or when thereservoir is empty. Enter the following on the CADD-Micro ProgrammingWorksheet:


1 03:00 0.200 06:00 2 09:00 1.500 06:00 3 15:00 6.800 06:00 4 21:00 1.500 06:00






3. Press ( or ) until “0.000” appears.


4. Press ( or ) until “0.000” appears.

Press £. The pointer will move to LOCKOUT º.


ML10.000

STOPV V V V


ML/HR 0.000

STOPV V V V


ML 0.000

STOPV V V V

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5. Press ( or) until “:00” appears.

Press £. Then press ß to move thepointer to GIVEN if necessary.

6. Press (. The demand dose counter will appear followed by“demand doses given.” Then the message “cleardose counter?” will scroll across the display.



9. Press ° to move the pointer toDOSE #. “NONE” will appear on thedisplay. (If “1” appears, you must clearall automatic doses. See “Removing allautomatic doses” in Section 2.)


11. Press (. The pointer will move to START º.


Press £. The pointer will move toAMOUNT.


Press £. “DOSE ADDED” willscroll across the display, and the pointer will move to DURATION.


:00STOP HR:MIN

V V V V

V V V V V V V V V

NoneSTOP

v V V V

DOSE #

V V V V V V V V V

ADD?STOP

v V V V

DOSE #

V V V V V V V V V

03:00STOP HR:MIN

V v V V

START º

V V V V V V V V V

ML 0.200

STOPV V v V

AMOUNT

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Press £. The pointer will move toDOSE # and “ADD?” will appear.

15. Repeat steps 10 through 13 for the remaining 3 automatic dosessubstituting each dose’s START º and AMOUNT. After you enter thelast dose, the number of automatic doses programmed will scrollacross the display.

NOTE: As you enter the remaining doses, the amount and durationwill automatically appear. Since the amounts vary, select the correctamount for the new dose. However, since the duration is 6 hours foreach dose, just press £ when “6:00” appears.

V V V V V V V V V

6:00STOP HR:MIN

V V V v

DURATION

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Section 4Pump Operation and Maintenance

Replacing the Battery ..................................................................... 58

Installing a Micro Medication Reservoir (Syringe) ......................... 60

Preparing the reservoir .................................................... 61

Installing the reservoir .................................................... 61

Priming the pump and fluid path .................................... 62

Connecting or inserting the infusion set .......................... 62

Replacing the reservoir only ............................................ 63

Starting the Pump (Run Mode) ...................................................... 64

Stopping the Pump (Stop Mode) .................................................... 64

Resetting the Clock ........................................................................ 65

Starting a Demand Dose ................................................................ 66

Stopping a Dose ............................................................................. 67

Canceling a demand dose in progress .............................. 67

Canceling the next automatic dose .................................. 67

Adjusting Doses in LL1 ................................................................ 68

Changing the continuous rate or demand dose ............... 68

Changing an automatic dose ........................................... 68

Viewing the Last Dose Time and Next Dose Time ......................... 69

Viewing Medication GIVEN and Demand Dose Counter .............. 70

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Replacing the Battery

The power source for the pump is a 9-volt battery. When battery power islow, three short beeps will sound every five minutes and LOW BAT willflash on the display. The pump will still be operable. When the 9-voltbattery is depleted, a continuous two-tone alarm will sound with nomessage.

Replace the battery with a fresh 9-volt alkaline or lithium battery such asthe DURACELL® Alkaline MN 1604, the EVEREADY® ENERGIZER®

Alkaline #522, or the ULTRALIFE® Lithium U9VL battery.

The pump’s nonvolatile memory retains all programmed values while thebattery is removed. There is no on/off switch for the pump; once youinsert the battery, the pump will be in the Stop mode.

The pump is also equipped with an internal battery which powers theclock. When the clock battery is depleted, a continuous two-tone alarmwill sound and “CLOCK BATTERY DEPLETED” will scrollacross the display. Remove the pump from service and return the pump toSIMS Deltec, Inc.

NOTE: Before stopping the pump to change the battery, be awarethat delivery will stop. If a demand dose is in progress, it will becanceled. If an automatic dose is in progress and the pump is restartedbefore the dose duration expires, delivery will resume, but the amountmissed will not be made up. Review the NEXT DOSE º to determinewhether an automatic dose is scheduled to start before changing thebattery.

WARNINGS:(1) Because there is no pump alarm to alert users that a battery has

become dislodged due to a damaged battery compartment coverbecoming separated from the pump or improper battery installation,it is important to carefully follow battery installation procedures.

(2) If the pump is dropped or hit against a hard surface, the battery doormay become broken or damaged. DO NOT USE the pump if it hasbeen damaged in this way because the battery will not be properlysecured; this may result in loss of power, nondelivery of drugs, and,depending on the type of drug being administered, death or seriousinjury.

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CAUTIONS: (1) Do not use carbon-zinc or rechargeable 9-volt NiCad batteries.(2) Always put the pump in the Stop mode before removing the

battery to avoid the risk of losing programmed values.(3) Do not store the pump for prolonged periods of time with the

battery installed. Battery leakage could damage the pump.

1. Put the pump in the Stop mode. (See “Stopping the Pump,” this section.)

2. Remove the battery door by pressing firmly on the arrow and slidingthe door off. Remove the used battery.

3. Insert the new battery matching its polarity (+ and –) with the polaritymarked on the back of the pump near the battery compartment.

6/16/93 D. Zurn µ Batt Rear

Figure 13. Match the polaritymarkings on the back of the pump.

4. Holding the battery in, press firmly on the arrow as you slide thebattery door on. The pump will begin its power-up sequence and willreview all programmed values. A series of six beeps will sound and thepump will be in the Stop mode.

NOTES:(1) If “EEEE” appears on the display, the power-up test has

detected a fault; return the pump for service.(2) If “CANCEL NEXT AUTO DOSE?” scrolls through

the display, the next automatic dose was canceled before thebattery was removed. Press ( if the dose should remaincanceled, or press ) if the dose should be delivered.

(3) If the battery is positioned incorrectly, the pump will not operate.(4) To bypass the automatic review, press

£ three times.

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Installing a Micro Medication Reservoir (Syringe)

This section describes how to install a Micro Medication Reservoir andinfusion set. The last procedure in this section describes how to changethe reservoir only keeping the patient’s infusion set in place.

If you have opted to use the RES VOL function, the pump will alarm asmedication becomes low. When the RES VOL value reaches 0.500 ml,two beeps will sound and the display will alternate between “LOW” andthe RES VOL value. Two beeps will sound each time the RES VOL dropsanother 0.100 ml (at 0.400, 0.300, 0.200, and 0.100 ml).

When the RES VOL value reaches 0 ml, the pump will automaticallystop. The pointer will move to RES VOL, “0.000” will flash on thedisplay, and two beeps will sound every second. To stop the alarm, press

¶. Then install a new reservoir.

CAUTIONS: (1) Do not reuse the medication reservoir. It is for single use only.(2) Use the PRIME key to prime the pump. Otherwise, delivery

will be inaccurate. In addition to removing air from the fluidpath, the PRIME key places the reservoir plunger firmlyagainst the drive nut for accurate delivery. Do not prime thepump while the tubing is connected to the patient.

(3) Always clamp the extension set tubing before disconnectingthe extension set from the reservoir or removing the reservoirfrom the pump.

(4) Certain solutions may be incompatible with the materials usedin the reservoir. While some incompatibilities are apparent, beaware that subtle physical, chemical, or pharmacologicalchanges can occur. Consult the package insert of the drug orsolution used. Contact the manufacturer of the drug orsolution if there is any doubt about its compatibility with thereservoir. Observe time and temperature limits for stability ofthe drug or solution.

NOTE: If the pump is in LL2, RES VOL may be reset only after itreaches 0 ml. In LL0 or LL1, RES VOL may be reset at any time. Todo this, stop the pump, move the pointer to RES VOL, and press £.

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Preparing the reservoir

1. Using aseptic technique, remove a new reservoir from its package andunscrew the protective cap. Move the plunger back and forth to ensureease of movement.

2. Attach a sterile hypodermic needle to the Luer fitting and fill thereservoir. Allow extra drug or solution for priming the entire fluid pathincluding any extension sets or other infusion apparatus.

3. Expel any air from the reservoir by pointing it up, gently tapping thebarrel, and pushing the plunger. Remove the hypodermic needle.

4. Using aseptic technique, connect the reservoir to a new clampedinfusion set or infusion set with a needle. Twist the Luer lock fittingsfirmly to prevent leakage of the drug or solution.

Installing the reservoir

1. Slide the cover off the top of the pump.

2. Determine the amount of drug or solution in the new reservoir. Rotatethe drive nut so its left edge lines up with the correspondinggraduation on the pump. In the following figure, the drive nut ispositioned at the 8 milliliter mark.

7/26/93 D. Zurn «µ Align, Insert Res 6/93»

Tab Drive nut

Plunger

Figure 14. Placing the reservoir onto the pump.

3. Place the new reservoir onto the pump making sure the end of the

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plunger is seated firmly around the drive nut and the reservoir tab isengaged in its slot. Snap the tip of the reservoir into place.

4. Slide the cover completely onto the pump. Prime the pump and thefluid path as described in the next section before inserting the infusionset or connecting it to the patient.

NOTE: If the cover does not slide on completely, the reservoir maynot be placed properly. Remove the cover and ensure that the end ofthe plunger fits around the drive nut. You may need to adjust theposition of the drive nut in order for the reservoir to fit properly.

Priming the pump and fluid path

CAUTION: Always prime the pump and fluid path using the PRIME keybefore connecting to the patient even if you do not see air in thesystem. Using the PRIME key will position the end of the plungerfirmly against the drive nut. Otherwise, the first dose may beinaccurate.

1. Unclamp the infusion set. Hold thepump with the Luer fitting pointedupward and press ®. “PPPP?” willappear.

2. Press and hold the ( key to deliver up to 0.300 ml of medication in0.010 ml increments. One beep will sound for each 0.010 mldelivered and the volume delivered will appear. When 0.300 ml havebeen delivered, the pump will automatically stop.

3. Check whether the system is fully primed. If not, repeat steps 1 and 2.

Connecting or inserting the infusion set

1. If appropriate, clamp the catheter to avoid blood back flow. Insert theinfusion set or connect the infusion set to an indwelling catheter orneedle. Make sure RES VOL has been reset.

2. Open all clamps and start the infusion.

V V V V V V V V V

PPPP?STOP

V V V V

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Replacing the reservoir only

1. Obtain a new, filled reservoir. Keep the protective cap on the tip of thereservoir until it is installed on the pump to avoid accidental loss ofmedication.

2. Clamp the tubing and disconnect it from the used reservoir. Careshould be taken not to contaminate the infusion set Luer connector.

3. Slide the cover off of the pump and discard the used reservoir.

4. Determine the amount of medication in the new reservoir. Rotate thedrive nut so its left edge lines up with the corresponding graduationon the pump. (See figure 14.)

5. Place the new reservoir onto the pump making sure the plunger rodend is seated firmly around the drive nut and the reservoir heel isengaged in its slot. (See figure 14.) Snap the reservoir into place.

6. Slide the reservoir cover completely onto the pump. Remove theprotective cap and prime the pump and the fluid path as described onthe previous page before inserting the infusion set or connecting it tothe patient.

NOTE: If the cover does not slide on completely, the reservoir maynot be placed properly. Remove the cover and ensure that the end ofthe plunger fits around the drive nut. You may need to adjust theposition of the drive nut in order for the reservoir to fit properly.

CAUTION: Always prime the pump and fluid path using the PRIME keybefore connecting to the patient even if you do not see air in thesystem. Using the PRIME key will position the end of the plungerfirmly against the drive nut. Otherwise, the first dose may beinaccurate.

7. Connect the infusion set to the reservoir. Twist the Luer lock fittingsfirmly to prevent leakage of the drug or solution. Make sure RES VOLhas been reset.

8. Open all clamps and start the infusion.

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Starting the Pump (Run Mode)

When you put the pump in the Run mode, the continuous rate, if pro-grammed, will begin its delivery. If an automatic dose has been pro-grammed to deliver at that time, the automatic dose will also begin.However, any part of the automatic dose that was missed before youstarted the pump will not be made up.

NOTE: The pump will not enter the Run mode if none of thedelivery options have been programmed into its memory. The message“NO RATE OR DOSES PROGRAMMED” will scrollacross the display.

1. Hold ¶ until the letters R-U-Nappear on the display and you hear abeep.

2. Release ¶. The current lock level will appear and the pump willdisplay all of its programmed values in sequence. When it is finished,“RUN” will flash in the lower left corner of the display.

Stopping the Pump (Stop Mode)

If you stop the pump in the middle of an automatic or demand dose,delivery stops. When you restart the pump, the automatic dose willresume, but a demand dose will not. The automatic dose will continueuntil its duration expires but the portion of the dose that was missed willnot be made up.

1. Hold ¶ until the letters S-T-O-P appearon the display and you hear a beep.

2. Release ¶. “STOP” will flash on the lower left corner of thedisplay and the current time of day will appear.

V V V V V V V V V

runV V V V

V V V V V V V V V

stopV V V V

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Resetting the Clock

The pump must be in the Stop mode and LL0 to change the clock time.You may change the clock time even if automatic doses are programmed.Since automatic doses are programmed to start at a certain time of day,they will start according to the new clock time.

CAUTION: When you change the clock time, any lockout time that is in effectwill be cleared. If a demand dose is programmed, a demand dosecould be requested immediately upon starting the pump.

1. Put the pump into the Stop mode. (See “Stopping the Pump” in thissection.)

2. Change the lock level to LL0. (See “Change to Lock Level 0” inSection 2.)

3. Press ß to move the pointer to TIME º.

4. Press ( or) until the correct time of day appears.

5. Press £. The message “CHANGE TIME OF DAY?” willappear.

6. Press ( to set the new time.

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Starting a Demand Dose

If a demand dose amount has been programmed, you may start a demanddose while the pump is in the Run mode. Each time a demand dose isdelivered, the pump automatically adds it to the dose counter under theGIVEN function. If no demand dose has been programmed, the pumpwill ignore the DEMAND DOSE key when you press it.

If you attempt to deliver a demand dose while another demand dose isbeing delivered, “DOSE IN PROGRESS” will appear on thedisplay and the pump will not deliver the second dose. If you attempt todeliver a demand dose during the lockout time, “DOSE LOCKEDOUT” will appear on the display and the dose will not be delivered.

NOTE: While a demand dose is being delivered, the pointer blinksin the display under DEMAND DOSE.

1. Press ¢. “DOSE?” will appear onthe display.

2. Press ( to start the demand dose. The message “DOSE STARTED”will scroll across the display and the pump will begin delivering thedose.

Or, press ) if you do not wish to start the demand dose.

V V V V V V V V V

dose?RUN

V V V V

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Stopping a Dose

In any lock level, you may stop (cancel) a demand dose in progress. You mayalso cancel the next automatic dose at any time up until it is scheduled tostart. However, you may not cancel an automatic dose in progress.

When you cancel the next automatic dose, the NEXT DOSE º functionwill show the start time for the following automatic dose. If no otherdoses are programmed, dashes “--:--” will display instead of the nextdose time.

Canceling a demand dose in progress

NOTE: Leave the pump in the Run mode.

1. Press £. “CANCEL DEMAND DOSE?” will scroll throughthe display.

2. Press ( to stop the demand dose. (Press ) if you do not wish tocancel the dose.)

Canceling the next automatic dose

NOTE: Leave the pump in the Run mode.

1. Press ß until the pointer is positioned under NEXT DOSE º.

2. Press £. The message “CANCEL NEXT auto DOSE?”will appear.

3. Press ( to cancel the next automatic dose.

NOTE: You can reverse the cancellation of the next automatic dose.To do this, stop the pump, remove the battery, and reinsert the battery.When the message “CANCEL NEXT AUTO DOSE?”appears, press the ) key. The next automatic dose will no longer becanceled.

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Adjusting Doses in LL1

In Lock Level 1 (LL1), you can change the continuous rate, demand doseamount, or automatic dose amount by stopping the pump and scrollingto a lower or higher value. You are not allowed to scroll to a value higherthan the maximum rate or amount programmed in Lock Level 0.

Changing the continuous rate or demand dose

1. Stop the pump. (See “Stopping the Pump,” this section.)

2. Press ß to move the pointer to the function you wish to change(RATE or DEMAND DOSE amount). The current value will appear.

3. Press ( or) until the desired value appears.

4. Press £ within 15 seconds to set the new value. Start the pump.

Changing an automatic dose

1. Stop the pump. (See “Stopping the Pump,” this section.)

2. Press ° to move the pointer to DOSE #.

3. Press ( until the dose number for the automatic dose you wish tochange appears.

4. Press ° to move the pointer to AMOUNT. The current value willappear.

5. Press ( or) until the desired value appears.

6. Press £ within 15 seconds to set the new value. Start the pump.

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Viewing the Last Dose Time and Next Dose Time

The LAST DOSE º records the time the last automatic or demand dosestarted. This value is automatically updated by the pump. The timedisplayed is the time the last dose actually started, not necessarily thetime it was programmed to start. For example, the last dose may havebeen programmed to start at 12:00, but the pump may not have beenstarted until 12:10. In this case, the LAST DOSE º would say 12:10. Ifthe battery is removed for more than 24 hours or if the time of day ischanged, the LAST DOSE º will clear to dashes “--:--.”

The NEXT DOSE º indicates the time the next automatic dose will start.This is the time the next automatic dose will actually start, not necessarilywhen it is programmed to start. For example, if the lockout time willprevent the next dose from starting on time, the NEXT DOSE º willshow the actual start time.

You may view the LAST DOSE º and the NEXT DOSE º in either theRun or Stop mode.

CAUTION: Do not use the £ key to move the pointer. If the pump is in theStop mode and LL0, using this key may clear any lockout timethat is in effect. This allows a demand dose, if programmed, tobe requested immediately. You may also inadvertently reset theRES VOL and GIVEN values.

1. Press ß to move the pointer to LAST DOSE º. The start time ofthe last automatic or demand dose will appear.

NOTE: If dashes “--:--” appear, this means no doses have beendelivered within the last 24 hours or the time of day has been changed.

2. Press ß again to move the pointer to NEXT DOSE º. The starttime of the next automatic dose will appear.

NOTE: If dashes “--:--” appear, there are no automatic doses orthere is only one and it has been canceled.

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Viewing Medication GIVEN and Demand Dose Counter

You should review the GIVEN function periodically to ensure that theproper amount of medication is being delivered. The GIVEN functionrecords the total volume of medication that has been delivered by thecontinuous rate, demand doses, and automatic doses since the last timethis value was cleared. The demand dose counter records the number ofdemand doses that have been delivered.

Both values are automatically updated by the pump as fluid is delivered.Fluid delivered with the PRIME key is not included in the GIVEN total.The maximum volume that the pump can record under GIVEN is 19.998ml. If more medication is delivered, this value will start over at 0.000.

The pump may be in either the Run or Stop mode to view the GIVENvalue and the demand dose counter. (To clear these values, the pumpmust be in the Stop mode and LL0. See “Clear the dose counter and theGIVEN value” in Section 2.)

CAUTION: Do not use the £ key to move the pointer. If the pump is in theStop mode and LL0, using this key may clear any lockout timethat is in effect. This allows a demand dose, if programmed, tobe requested immediately. You may also inadvertently reset theRES VOL and GIVEN values.

1. Press ß to move the pointer to GIVEN. The volume of medicationgiven will appear.

2. Press (. The number of demand doses that have been delivered willappear followed by the message “demand doses given.”

3. If the pump is in the Stop mode and LL0, the message “CLEARDOSE COUNTER?” will follow.

Press ) to retain the dose counter value. Or, press ( to clear thedose counter.

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Section 5Reference

Glossary ........................................................................................ 72

Pump Maintenance and Cleaning .................................................. 74

Equipment Exposure to Radiation or MRI .................................... 74

Alarms and Troubleshooting ......................................................... 75

CADD-Micro Programming Worksheet ........................................ 78

FAST Duration Chart .................................................................... 79

24-Hour (Military) Time Conversion Chart .................................. 80

Specifications (Nominal) ................................................................ 80

Limited Warranty .......................................................................... 83

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Glossary

CADD® A trademark acronym for “Computerized Ambulatory DrugDelivery.”

Continuous Rate One of the options available for delivery. This optiondelivers medication at a constant rate.

Display The screen or viewing area on the front of the pump that displaysoperating modes, values, and conditions of operation.

FAST An option that may be used as the duration for a demand dose or anautomatic dose. A dose with a “FAST” duration will be delivered as fastas the pump will allow up to 12 ml/hr. (See “Specifications,” thissection.)

Fluid Path The portion of the delivery system that consists of the fluidcontainer, infusion set, and access device.

Function Any one of the rates, amounts, or times listed along the top orbottom of the pump’s display which are programmable or calculated bythe pump.

Infusion The delivery of fluid or medication into the patient.

KVO (Keep Vein Open) Rate The continuous rate that has been pro-grammed to continue pumping after a prescribed dose has been delivered.

Lock Level This term refers to the lock level (LL0, LL1, or LL2) which isset using the LOCK key. The lock level restricts access to pump program-ming and operation.

Luer Lock Connector The fitting which connects the patient’s access deviceand/or infusion set to the administration set.

Micro Medication Reservoir (Reservoir) The syringe attached to the top ofthe pump containing the medication to be delivered.

Microprocessor The electronic device that controls the pump.

Mode Refers to one of two operating conditions: the Stop mode, duringwhich the pump is programmed or primed, and the Run mode, duringwhich fluid delivery occurs.

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Pointer The dot (v) in the display which indicates the function you areviewing or programming. When the pointer is positioned below or abovea function, the number that appears on the display is the value that hasbeen programmed or calculated for that function.

PRIME Key The key that allows you to pump a small volume of medicationthrough the fluid path to purge air bubbles from the administration setand tubing. The priming procedure occurs before you connect the tubingto the patient’s access device.

RATE See Continuous Rate.

RES VOL (Reservoir Volume) The value calculated by the pump whichapproximates the volume of medication remaining in the reservoir (inmilliliters). This value is the difference between the value that wasinitially programmed and the volume of fluid delivered (including fluiddelivered with the PRIME key).

Reservoir See Micro Medication Reservoir.

Reservoir Volume See RES VOL.

Scroll Keys (Also the “Y and N Keys.”) The two triangular shaped keys(()) which are used to increase or decrease the numeric value of anypump operating value. These values are shown on the display.

Value The number that was programmed into the pump or calculated bythe pump for a particular function.

Y and N Keys (Also the “Scroll Keys.”) The two triangular shaped keys(()) used to respond yes or no to questions which scroll across thedisplay.

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Pump Maintenance and CleaningCAUTION:• Do not immerse the pump in cleaning fluid or water. Do not allow

solution to soak into the pump, accumulate on the keypad, or enterthe battery compartment.

• Do not clean the pump with acetone, other plastic solvents, orabrasive cleaners.

Use any of the following solutions to clean the pump and accessories:• Soap solution• Benzalkonium Chloride concentrate (0.13%)• Glutaral Concentrate, USP (2%)• 10 percent solution of household bleach (one part household bleach to

nine parts water)• Alcohol, USP (93%)• Isopropyl Alcohol, USP (99%)

1. Dampen a soft, lint-free cloth with cleaning solution. Apply thesolution to exterior surface of the pump. Do not allow the solution tosoak into the pump.

2. Wipe the entire surface dry with another soft, lint-free cloth. Allow thepump to dry completely before use.

Equipment Exposure to Radiation or MagneticResonance Imaging (MRI)CAUTIONS:

(1) The CADD-Micro pump SHOULD NOT BE DIRECTLYIRRADIATED by therapeutic levels of ionizing radiation becauseof the risk of permanent damage to the pump’s electroniccircuitry. The best procedure to follow is to remove the pumpfrom the patient during therapeutic radiation sessions ordiagnostic levels of radiographic and fluoroscopic radiation. If thepump must remain in the vicinity during a diagnostic or therapysession, it should be shielded, and its ability to function properlyshould be confirmed following treatment.

(2) Magnetic fields produced by magnetic resonance imaging (MRI)equipment may adversely affect the operation of the pump.Remove the pump from the patient during MRI procedures andkeep it a safe distance away from magnetic energy.

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Alarms and Troubleshooting

General Alarms

What you see/hear

EEEE appears with acontinuous two-tone alarm.

LOW BAT flashes on thedisplay and three beeps soundevery five minutes.

A continuous two-tone alarmsounds, “STOP” or “RUN”stops blinking, and there is nomessage on the display.

A continuous two-tone alarmsounds and “STOP” or “RUN”continues to blink with nomessage on the display.

CLOCK BATTERYDEPLETED scrolls acrossthe display with a continuoustwo-tone alarm.

HIGH PRESSURE ORSYRINGE EMPTYscrolls across the display with acontinuous two-tone alarm.

SYRINGE COVERREMOVED scrolls across thedisplay with a continuous two-tone alarm.

Action

Remove the battery and returnthe pump for service.

Change the 9-volt battery.

Change the 9-volt battery.

Release all keys. If the alarmcontinues, return the pump forservice.

Remove the pump from serviceand return it to SIMS Deltec,Inc.

Locate and remove the obstruc-tion to continue. Or, press theSTOP/START key to stop thepump and the alarm, then locateand remove the obstruction.Restart the pump.

If the reservoir is empty, see“Replacing the Micro Medica-tion Reservoir” in Section 4.

NOTE: In the Stop mode, pressSTOP/START to silencethe alarm for 2 minutes.

Replace the cover to continueoperation, or press the STOP/START key to put the pump inthe Stop mode and shut off thealarm.

Problem

The pump has detected aninternal error. *

The 9-volt battery power is low,but the pump is operable.

The 9-volt battery power isdepleted. *

A key may be pressed down. *

The internal battery thatpowers the clock is depleted. *

There may be a blockage orkink in the fluid path or atubing clamp may be closed. *

Or, the reservoir may be empty. *

The pump is in the Run modebut the cover is not in place. *

* Fluid delivery stops when this alarm occurs. Any doses that are missed during this alarmwill not be made up.

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What you see/hear

COVER OFF or COVERON scrolls across the displaywith two short beeps.

LOW and the RES VOL valueflash on the display. Two beepssound at a RES VOL value of0.50 and with each decrease of0.10 ml.

A RES VOL value of 0.000flashes on the display and twoshort beeps sound every second.

CANCEL DEMANDDOSE? scrolls across thedisplay with two short beeps.

NO RATE OR DOSESPROGRAMMED scrollsacross the display with twoshort beeps when you try tochange to the Run mode.

CANCEL NEXT AUTODOSE? scrolls across thedisplay after you insert a newbattery.

Three beeps sound every 5minutes and “STOP” blinks onthe display.

While trying to start the pump,one or moreauto doseslocked out scrollsacross the display and two shortbeeps sound.

Problem

The pump is in the Stop modeand the cover has been removedor replaced.

The RES VOL value is low,indicating that the level ofmedication in the reservoir islow.

The RES VOL value hasreached 0.000. The pumpautomatically changes to theStop mode.

You may have inadvertentlypressed the SET/CLEAR keywhile a demand dose was inprogress.

The pump will not allow you tochange to the Run mode if acontinuous rate, demand dose,or automatic doses have notbeen programmed.

Before the battery was removed,the next automatic dose hadbeen canceled.

The pump is in the Stop mode.

The programmed lockout timewill prevent delivery of all orpart of automatic dose(s). Thepump cannot be started.

General Alarms—continued

Action

No action is necessary; messageconfirms that you have removedor replaced the cover.

Prepare to install a newreservoir.

Press STOP/START to stop thealarm. The RES VOL value willautomatically revert to its lastprogrammed value. Install a newreservoir if necessary.

If you do not wish to cancel thedose, press the N key.

Follow the instructions in Section2 to program the pump.

If the automatic dose shouldremain canceled, press the Y key.If not, press the N key.

Change the pump to the Runmode if it should be infusing andreview the programmed auto-matic doses to see if a dose wasmissed.

Adjust the LOCKOUT º or theautomatic dose(s) so that noautomatic doses are locked out.

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Alarms While Requesting a Demand Dose

Problem

A demand dose was attempted,but the lockout time preventedthe dose from being delivered.

A demand dose was requestedwhile another demand dose wasalready in progress.

Action

Press any key to stop the alarmand wait until the lockout timeexpires before requesting thedemand dose.

Press any key to stop the alarmand wait until the currentdemand dose has finished itsdelivery.

Alarms and Messages While Programming

What you see/hear

While programming anautomatic dose, NEXTDOSE LOCKED OUTscrolls across the display andtwo short beeps sound.

While programming anautomatic dose, you are notable to scroll to ADD?.

While programming LOCKOUTº, ONE OR MORE autoDOSES LOCKED OUTscrolls across the display and twoshort beeps sound.

While trying to programthe START º, DOSELOCKED OUT scrollsacross the display.

While trying to program theDURATION or an AMOUNT,the display will not scroll past acertain value.

Problem

The automatic dose you areprogramming plus the lockouttime will prevent the nextautomatic dose (alreadyprogrammed) from starting ontime.

The maximum number ofautomatic doses (24) isprogrammed or automaticdoses occupy the entire day.

The lockout time conflicts withan automatic dose that isalready programmed, and willprevent it from starting on time.

You have chosen a start timewhich causes the dose to fallwithin the lockout time.

The pump will scroll onlythrough values that do notcause the dose to overlap thenext dose.

Action

Review the values for the newdose, existing automatic doses,and the lockout time; correct thevalues or set the lockout time tozero so no automatic doses arelocked out.

Review the automatic doses;clear and/or reprogram them ifnecessary.

Review the automatic doses; ifnecessary, correct the lockouttime so that no automatic dosesare locked out.

Review the existing doses andthe lockout time; adjust thedoses or set the lockout time tozero.

Review the existing doses andadjust start times if necessary.

What you see/hear

DOSE LOCKED OUTscrolls across the display andtwo short beeps sound.

DOSE IN PROGRESSscrolls across the display andtwo short beeps sound.

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CADD-Micro Programming Worksheet

Notes

CADD-Micro® is a registered trademark of SIMS Deltec, Inc. 1994 SIMS Deltec, Inc. All rights reserved. Printed in U.S.A.

______ ____:____ ____._____ ____:____ [ ] ______ ____:____ ____._____ ____:____ [ ] ______ ____:____ ____._____ ____:____ [ ] ______ ____:____ ____._____ ____:____ [ ] ______ ____:____ ____._____ ____:____ [ ] ______ ____:____ ____._____ ____:____ [ ] ______ ____:____ ____._____ ____:____ [ ] ______ ____:____ ____._____ ____:____ [ ] ______ ____:____ ____._____ ____:____ [ ] ______ ____:____ ____._____ ____:____ [ ] ______ ____:____ ____._____ ____:____ [ ] ______ ____:____ ____._____ ____:____ [ ] ______ ____:____ ____._____ ____:____ [ ] ______ ____:____ ____._____ ____:____ [ ] ______ ____:____ ____._____ ____:____ [ ] ______ ____:____ ____._____ ____:____ [ ] ______ ____:____ ____._____ ____:____ [ ] ______ ____:____ ____._____ ____:____ [ ] ______ ____:____ ____._____ ____:____ [ ] ______ ____:____ ____._____ ____:____ [ ] ______ ____:____ ____._____ ____:____ [ ] ______ ____:____ ____._____ ____:____ [ ] ______ ____:____ ____._____ ____:____ [ ] ______ ____:____ ____._____ ____:____ [ ]

11. Review the Program

12. Attach the reservoir; prime using the PRIME key

13. Set the appropriate lock level [ ] LL1 [ ] LL2

14. Start the pump

You may use this worksheet to aid in programming the pump. Transcribe the clinician’s orders to the worksheet, then program the values into the pump in the order listed. NOTE: This worksheet is intended as a guide only; for detailed instructions, specifications, warnings, and additional information on operating the CADD-Micro® pump, please refer to the Operator’s Manual supplied with the product.

1. Stop the pump

2. Change to LL0

3. Check the clock time

4. Enter RES VOL ____.____ ml

5. Enter continuous RATE ____.____ ml/hr

6. Enter DEMAND DOSE amount ____.____ ml

Enter demand dose DURATION (hr:min) ________ or [ ] FAST

7. Enter LOCKOUT time (hr:min) ________

8. Clear demand dose counter and ml GIVEN

9. Clear automatic doses

10.Enter AUTOMATIC DOSES (up to 24, in order by start time):

DOSE # START TIME AMOUNT DURATION (military time) (ml) hr:min or FAST

Patient Name/No. _______________________________

Date __________________________________________

Medication ____________________________________

Pump start time _________________________________

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FAST Duration Chart

When the duration of a demand dose or an automatic dose is program-med to “fast,” the dose will be delivered over a whole number of minutesat a maximum rate of 12 ml/hr (0.2 ml/min). The graph below illustratesthe number of minutes over which various dose amounts will bedelivered. For example, a 1.0 ml dose will be delivered in 5 minutes and a4.8 ml dose will be delivered in 24 minutes.

0 5 10 15 20 25 30 35 40 45 50

12/7/92 D. Zurn “µ Fast Duration Graph”

Dose Duration (minutes)

10.0

9.0

8.0

7.0

6.0

5.0

4.0

3.0

2.0

1.0

0.0

Do

se A

mo

un

t (m

l)

Amount Duration (ml) (min)

0.020–0.200 1 minute 0.202–0.400 2 minutes 0.402–0.600 3 minutes 0.602–0.800 4 minutes 0.802–1.000 5 minutes 1.002–1.200 6 minutes etc. etc.

Figure 19. FAST Duration graph.

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24-Hour (Military) Time Conversion Chart

12-Hour Time 24-Hour (Military) Time

12:00 AM 00:001:00 AM 01:002:00 AM 02:003:00 AM 03:004:00 AM 04:005:00 AM 05:006:00 AM 06:007:00 AM 07:008:00 AM 08:009:00 AM 09:00

10:00 AM 10:0011:00 AM 11:00

12:00 PM 12:001:00 PM 13:002:00 PM 14:003:00 PM 15:004:00 PM 16:005:00 PM 17:006:00 PM 18:007:00 PM 19:008:00 PM 20:009:00 PM 21:00

10:00 PM 22:0011:00 PM 23:00

Specifications (Nominal)

Programming Specifications

Maximum InfusionRate: 26 ml/hr (sum of 2 ml/hr continuous RATE, 12

ml/hr automatic dose, and 12 ml/hr demand dose).

Reservoir Volume: 0 to 10.500 ml in 0.100 ml increments.

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Continuous Rate: 0.000, or 0.020 ml/hr to 2.000 ml/hr in 0.002 ml/hrincrements.

Demand DoseAmount: 0.000, or 0.020 ml to 1.000 ml in 0.002 ml incre-

ments.

Demand DoseDuration: 5 to 15 minutes in 1-minute increments, or 15

minutes to 24 hours in 5-minute increments, or“FAST.”

Lockout Time: 0 to 1 hour in 1-minute increments, or 1 hour to23 hours 55 minutes in 5-minute increments.

Automatic DoseStart Time: 0 to 23 hours 55 minutes in 5-minute increments.

Automatic DoseAmount: 0.020 to 1.000 ml in 0.002 ml increments, or

1.000 to 10.000 ml in 0.010-ml increments. Dueto the maximum delivery rate, the amount isconstrained by the maximum dose rate and thetime the next automatic dose starts.

Automatic DoseDuration: 5 minutes to 15 minutes in 1-minute increments,

or 15 minutes to 24 hours in 5-minute increments,or “FAST.”

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“FAST” Duration: Dose is delivered over a whole number of minutesat a maximum rate of 12 ml/hr (0.2 ml/min).

Given Range: 0 to 19.998 ml.

General Pump Specifications

Size: Approximately 2.3 cm × 7.6 cm × 11.9 cm(0.9 in × 3.0 in × 4.7 in).

Weight: Approximately 255 g (9 oz.), including battery andempty reservoir.

Pump Alarms: Low 9-volt battery, low internal battery, highpressure (8 ± 4 psi), internal controller, power upfault, low volume in fluid container, empty fluidcontainer, syringe cover sensor, key pressed. (Formore information, see “Alarms and Troubleshoot-ing,” this section.)

Power Sources: 9-volt alkaline or lithium battery powers thepump, such as the DURACELL® Alkaline MN1604, the EVEREADY® ENERGIZER Alkaline#522, or the ULTRALIFE® Lithium U9VL battery.The expected battery life of a 9-volt battery is 7days (nominal) at a delivery rate of 10 ml per day.This estimate is based on laboratory tests con-ducted at room temperature using a fresh battery.Actual battery life will vary depending on thebrand of battery, battery shelf life, and tempera-ture conditions.

An internal battery powers the clock. When it isdepleted, it cannot reliably retain the clock time.This battery must be replaced by Deltec. Theinternal battery has an expected life of 5 years.

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Limited WarrantySIMS Deltec, Inc. (the “Manufacturer”) warrants to the Original Purchaser that theinfusion pump (the “Pump”), not including accessories, shall be free from defects inmaterials and workmanship under normal use, if used in accordance with this Operator’sManual, for a period of one year from the actual date of sale to the Original Purchaser.THERE ARE NO OTHER WARRANTIES.

This warranty does not cover normal wear and tear and maintenance items, andspecifically excludes batteries, administration sets, extension sets or any other accessoryitems or equipment used with the Pump.

Subject to the conditions of and upon compliance with this Limited Warranty, theManufacturer will repair or replace at its option without charge (except for a minimalcharge for postage and handling) any Pump (not including accessories) which is defectiveif a claim is made during such one-year period.

The following conditions, procedures, and limitations apply to the Manufacturer’sobligation under this warranty:

A. Parties Covered by this Warranty: This warranty extends only to the OriginalPurchaser of the Pump. This warranty does not extend to subsequent purchasers. TheOriginal Purchaser may be a patient, medical personnel, a hospital, or institutionwhich purchases the Pump for treatment of patients. The Original Purchaser shouldretain the invoice or sales receipt as proof as to the actual date of purchase.

B. Warranty Performance Procedure: Notice of the claimed defect must be made inwriting or by telephone to the Manufacturer as follows: Customer ServiceDepartment, SIMS Deltec, Inc., 1265 Grey Fox Road, St. Paul, MN 55112 U.S.A.,(800) 426-2448. Notice to the Manufacturer must include date of purchase, modeland serial number, and a description of the claimed defect in sufficient detail to allowthe Manufacturer to determine and facilitate any repairs which may be necessary.AUTHORIZATION MUST BE OBTAINED PRIOR TO RETURNING THEPUMP. If authorized, the Pump must be properly and carefully packaged andreturned to the Manufacturer, postage prepaid. Any loss or damage during shipmentis at the risk of the sender.

C. Conditions of Warranty: The warranty is void if the Pump has been 1) repaired bysomeone other than the Manufacturer or its authorized agent; 2) altered so that itsstability or reliability is affected; 3) misused; or, 4) damaged by negligence oraccident. Misuse includes, but is not limited to, use not in compliance with theOperator’s Manual or use with nonapproved accessories. The Pump is a sealed unit,and the fact that the seal has been broken will be considered conclusive evidence thatthe Pump has been altered or misused. Removal or damage to the Pump’s serialnumber will invalidate this warranty.

D. Limitations and Exclusions: Repair or replacement of the Pump or any componentpart thereof is the EXCLUSIVE remedy offered by the Manufacturer. The followingexclusions and limitations shall apply:

1. No agent, representative, or employee of the Manufacturer has authority to bindthe Manufacturer to any representation or warranty, expressed or implied.

2. THERE IS NO WARRANTY OF MERCHANTABILITY OR FITNESS ORUSE OF THE PUMP FOR ANY PARTICULAR PURPOSE.

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3. The Pump can only be used under the supervision of medical personnel whoseskill and judgment determine the suitability of the Pump for any particularmedical treatment.

4. All recommendations, information, and descriptive literature supplied by theManufacturer or its agents are believed to be accurate and reliable, but do notconstitute warranties.

E. Computer Program License:

1. The Pump is intended to be used in conjunction with a particular LicensedComputer Program supplied by Manufacturer and use of any other program orunauthorized modification of a Licensed Computer Program shall voidManufacturer’s warranty as set forth above.

2. The Original Purchaser and any users authorized by the Original Purchaser arehereby granted a nonexclusive, nontransferable license to use the LicensedComputer Program only in conjunction with the single Pump supplied byManufacturer. The Licensed Computer Program is supplied only in machine-readable object code form and is based upon Manufacturer’s proprietaryconfidential information. No rights are granted under this license or otherwise todecompile, produce humanly readable copies of, reverse engineer, modify orcreate any derivative works based upon the Licensed Computer Program.

3. All other terms and conditions of this Limited Warranty shall apply to theLicensed Computer Program.

THE MANUFACTURER DISCLAIMS RESPONSIBILITY FOR THE SUITABILITYOF THE PUMP FOR ANY PARTICULAR MEDICAL TREATMENT OR FORANY MEDICAL COMPLICATIONS RESULTING FROM THE USE OF THEPUMP. THE MANUFACTURER SHALL NOT BE RESPONSIBLE FOR ANYINCIDENTAL DAMAGES OR CONSEQUENTIAL DAMAGES TO PROPERTY,LOSS OF PROFITS, OR LOSS OF USE CAUSED BY ANY DEFECT ORMALFUNCTION OF THE PUMP.

This warranty gives the Original Purchaser specific legal rights, and the OriginalPurchaser may have other legal rights which may vary from state to state.

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© 1996 SIMS Deltec, Inc.All rights reserved.Printed in U.S.A. 19308_2879-01D

SIMS Deltec, Inc. 7/96St. Paul, Minnesota 55112 U.S.A. 40-2879-01D

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Documents

Ambulatory Infusion Pump - InfuSystem MICRO 5900.pdf · Ambulatory Infusion Pump ... programming and operation of the CADD-Micro infusion system. SIMS Deltec, Inc. 1265 Grey Fox Road